Use este identificador para citar ou linkar para este item: https://ri.ufs.br/jspui/handle/riufs/25620
Tipo de Documento: Artigo
Título: Effectiveness of rotavirus vaccines against rotavirus infection and hospitalization in Latin America: systematic review and meta-analysis
Autor(es): Santos, Victor Santana
Marques, Daniella P.
Martins Filho, Paulo Ricardo Saquete
Cuevas, Luis Eduardo
Gurgel, Ricardo Queiroz
Data do documento: 2016
Resumo: Background: Rotavirus was the leading cause of childhood diarrhoea-related hospitalisations and death before the introduction of rotavirus vaccines. Methods: We describe the effectiveness of rotavirus vaccines to prevent rotavirus infections and hospitalizations and the main rotavirus strains circulating before and after vaccine introduction through a systematic review and meta-analysis of studies published between 1990 and 2014. 203 studies were included to estimate the proportion of infections due to rotavirus and 10 to assess the impact of the vaccines. 41 of 46 studies in the post-vaccination period were used for meta-analysis of genotypes, 20 to calculate VE against infection, eight for VE against hospitalisation and seven for VE against severe rotavirus-diarrhoea. Results: 24.3 % (95 % CI 22.1–26.5) and 16.1 % (95 % CI 13.2–19.3) of cases of diarrhoea were due to rotavirus before and after vaccine introduction, respectively. The most prevalent G types after vaccine introduction were G2 (51.6 %, 95 % CI 38–65), G9 (14.5 %, 95 % CI 7–23) and G1 (14.2 %, 95 % CI 7–23); while the most prevalent P types were P[4] (54.1 %, 95 % CI 41–67) and P[8] (33 %, 95 % CI 22–46). G2P[4] was the most frequent genotype combination after vaccine introduction. Effectiveness was 53 % (95 % CI 46–60) against infection, 73 % (95 % CI, 66–78) against hospitalisation and 74 % (95 % CI, 68.0–78.0) against severe diarrhoea. Reductions in hospitalisations and mortality due to diarrhoea were observed in countries that adopted universal rotavirus vaccination. Conclusions: Rotavirus vaccines are effective in preventing rotavirus-diarrhoea in children in Latin America. The vaccines were associated with changes in genotype distribution.
Palavras-chave: Rotavirus vaccines
Rotavirus vaccine effectiveness
Rotavirus genotype
Meta-analysis
Latin America
ISSN: 2049-9957
Parte de : Infectious Diseases of Poverty
Idioma: eng
Instituição/Editora: BioMed Central
Citação: SANTOS, V. S. et al. Effectiveness of rotavirus vaccines against rotavirus infection and hospitalization in Latin America: systematic review and meta-analysis. Infectious Diseases of Poverty, London, v. 5, n. 83, 2016. Disponível em: https://link.springer.com/article/10.1186/s40249-016-0173-2. Acesso em: 21 jul. 2026.
Licença: Creative Commons Atribuição 4.0 Internacional (CC BY 4.0)
Identificador: https://doi.org/10.1186/s40249-016-0173-2
URI: https://ri.ufs.br/jspui/handle/riufs/25620
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